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1134498926
CARRIE KALLENBACH GORDON
REDWOOD CITY, CA
NPI
1134498926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 12246)
Enumeration Date
2011-12-22
Last Update Date
2013-09-12
Business Address
Ms. CARRIE KALLENBACH GORDON NP
300 BRADFORD STREET MAGUIRE CORRECTIONAL FACILITY
REDWOOD CITY, CA 94063
Phone number: 650-363-4241
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Mailing Address
Ms. CARRIE KALLENBACH GORDON NP
300 BRADFORD AVENUE MAGUIRE CORRECTIONAL FACILITY
REDWOOD CITY, CA 94063
Phone number: 650-363-4241
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